457.1.3 Facility Standards for Facilities Licensed Prior to or on July 14, 1993
- The building codes described in the Florida Building Code;
- The fire codes contained in Chapter 69A-44, "Minimum Fire Safety Standards for Residential Alcohol and Drug Abuse Treatment and Prevention Programs, Mental Health Residential Treatment Facilities and Crisis Stabilization Units," Florida Administrative Code, as described in the NFPA 101, Chapters 18 and 19, Special Definitions, as adopted by the Florida Fire Prevention Code, as applicable to limited health care facilities, which is included by reference in Chapter 59A-3, Florida Administrative Code.
In multiple occupancy bedrooms or sleeping areas there shall be a minimum of 60 square feet (6 m2) per bed and no less than a 30-inch (762 mm) separation between beds. Bedrooms shall be limited to a maximum of four occupants.
The minimum size of a single occupant bedroom shall be 55 square feet (5 m2).
Each CSU shall have at least one seclusion room and another room which may be used as a seclusion room. Each SRT shall have a seclusion room. Seclusion rooms shall be a minimum of 55 square feet (5 m2). If a restraint bed is utilized, it shall have access around it and be bolted to the floor. Seclusion rooms shall minimally include a mattress. Ceilings shall be solid, and all lighting fixtures shall be tamperproof, and power receptacles are not permitted in the room.
The facility shall have at least one water fountain readily accessible for the use of persons receiving services.
The facility shall have a minimum ratio of one shower for each eight individuals and one toilet and lavatory for each six individuals. Individual shower stalls and dressing areas shall be provided. The use of gang showers is prohibited. Access to a bathroom shall not be through another person's room.
The facility shall have a locked area for personal possessions being held for safekeeping. Individual shelves or other similar dividers shall be provided in the locked area for the storage of personal possessions. The facility shall have written policies and procedures to ensure reasonable access to personal possessions.
Each facility shall have a fenced outside recreation area with a minimum fence height of no less than 6 feet (1829 mm) suitable for impeding elopements.
External windows shall have security screens or equivalent protection.
The facility shall provide an appropriate separate nontreatment area to serve as a general reception area with accommodations for such activities as receiving visitors. This reception area shall be separated from the treatment area by a locked doorway.
When a CSU is collocated with another program, as provided for in Section 65E-12.106(23), Florida Administrative Code, the following minimum facility requirements shall be met.
- A CSU shall be separated and secured by locked doors, used by persons receiving services, from the SRT and detoxification units.
- Whenever a CSU is collocated with an SRT or substance abuse detoxification unit there shall be no compromise in CSU standards. In all instances, whenever there is a conflict between CSU rules and SRT, alcohol or drug abuse rules, the more restrictive rules shall apply.
All CSUs shall be locked facilities and, to the maximum extent practical, provide a locked perimeter around a living unit and fenced exercise area within which individuals can reside 24 hours-aday in an environment designed to minimize potential for injury. Where this is not possible, operational compensation shall be made as follows:
- Each person receiving services shall be provided a minimum of 175 square feet (16 m2) of usable client space within the CSU. Useable client space is the sum, in gross square feet, of all rooms, interior wall to interior wall, that are part of a CSU and SRT facility. mechanical and electrical rooms, administrative and staff offices, screening areas, nurses' stations, visitor and reception areas, crawl space and attic space are excluded. Bedrooms shall be spacious and attractive, and activity rooms or space shall be provided.
- CSU facilities shall be locked to provide reasonable control over access to and egress from the unit, recreational area, and emergency reception areas. When individuals are moved to other areas, the pathways shall also be locked or have adequate control provisions to prevent elopement. Such controlled passageways shall include access to the emergency reception area, unit proper, off unit doorways, and recreational areas.
- All unit door locks shall employ a common key for rapid access in emergency situations with quick releasing or single-turn mechanisms.
Food preparation areas for thirteen or more persons shall comply with the provisions of Chapter 64E-11, Florida Administrative Code, "Food Hygiene."
Hot and cold running water under pressure shall be readily available in all washing, bathing and food preparation areas. Hot water in areas used by persons being served shall be at least 100°F (38°C) but not exceed 120°F (49°C).
Each CSU shall have at least one seclusion room located in the CSU facility. Additional space shall be available that can be used either as a seclusion room or bedroom, as need dictates. Policies and procedures shall be developed on handling emergency situations that require seclusion. Each SRT shall have a seclusion room.